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Headaches, neck pain, mid-back pain, and low back pain.  Hugh Murray also treats all the joints in the body.  And many times, that hand pain, elbow, shoulder, hip, knee pain may be coming from your spine.  If your spine is never evaluated you cannot understand where the pain generator is located.   

Pain and its presentation                            “The nervous system is running the show" 

The pain you are experiencing may be presented over a specific joint or body part, and that specific joint or body part may be where the pain is generated. 

 

However, there is a referred pain.  We all have experienced referred pain, when we bump our elbow, “funny bone” we will feel tingling or numbness or pain in our fingers.  This is referred pain.  It presents itself in many shapes and forms throughout our body. 

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To give you a brief rundown regarding referred pain

The upper cervical spine, the top of your neck will refer pain into your head and face.  We commonly call this a headache.  It can present as a sinus headache or migraine. 

The middle part of your neck and lower part of your neck will refer pain into your shoulder blade which is lower than your neck.  As your pathology gets worse then it will refer into the shoulder arm and hand.  This can mimic a rotator cuff tear or carpal tunnel syndrome or tennis elbow or a muscle pull. 

The upper part of your thoracic spine your mid back, will refer pain into the shoulder. 

The mid back will refer pain around the rib cage to the front or through your body to the front.  It may expose itself as a bruise type feeling on your chest or abdominal wall and many times will mimic gallbladder or other organ issues. 

The upper lumbar spine or low back will refer pain into your lower abdominal wall in women and into the testicles in men.      

            

The lower lumbar spine refers to the sacroiliac joint, hip, groin, and down the leg all the way to the foot and toes.  We commonly call it sciatica, and it takes on many, many different variations. 

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